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Demand for medical office buildings and space for ambulatory care is the highest it’s been in nearly a decade as traditional healthcare systems reach into the community, opening more consumer-friendly outpatient services, according to a new analysis.

Real estate services firm Colliers International (CIGI) said an already low vacancy rate of below 10% will continue through 2016 and beyond as “healthcare industry employment growth and demographic trends all line up favorably.”

The vacancy rate was 9.5% for medical office buildings through the third quarter of 2015 and well below that for traditional offices and the lowest rate for medical office buildings since 2007 when it was 9.1%, Colliers data in its 2016 forecast shows.

Demand for medical office buildings and related space is on the rise, according to Colliers International

“There is a national trend pushing care to where the patient is located,” Mary Beth Kuzmanovich, national director of healthcare services for Colliers International said in an interview. “Patients who might have gone into the ER will stop into the urgent care center, particularly as they have insurance coverage under the Affordable Care Act.”

Millions of newly insured Americans with the ability to afford medical care are able to seek treatment in a doctor’s office, urgent care center, retail clinic or other outpatient site rather than go to the hospital emergency room thanks to the Affordable Care Act. There are an additional 17 million or more Americans covered by some estimates.

Meanwhile, insurance payment is pushing more patients to these ambulatory care settings as health insurance companies pay for value and shift reimbursement from fee-for-service medicine. Aside from Medicare’s commitment to shift half of all payments to value-based models by 2018, commercial insurers , , and Blue Cross and Blue Shield plans are shifting tens of billions of dollars to treatment based on outcomes rather than volume.

Retail clinics and urgent care centers continue to open at a solid pace, according to a new January report from Merchant Medicine, a healthcare consulting firm that tracks such growth. “Interest in the walk-in space as a whole continues to be strong, as evidenced by clinic openings, patient volume and investment from multiple sectors,” Merchant Medicine’s Tom Charland said in his report out this month.

Aside from retail clinic openings by and Walgreens (WBA), UnitedHealth’s Optum unit is buying up urgent care centers and doctor practices, opening even more of these sites.

The 9.5% vacancy rate in medical office buildings that Colliers tallied in the third quarter of 2015, the most recent data available, was 3.2% below “the rate of all office space nationally,” the report said.

“We fully expect vacancy rates to continue their downward trend,” Mike Roessle, director of national office research, said in an interview. “With the increased spending in healthcare and an aging population, it’s going to continue. Demand will be very robust for years to come.”